DOI: 10.36347/sjmcr.2016.v04i04.004

Pages: 194-197

The incidence of congenital diaphragmatic hernia varies from 1: 2000 to 1: 4000 live births. However, the clinical manifestation of symptoms and its diagnosis in adults is very rare. Very few cases of adult patients with Bochdalek hernia have been reported. Here we report a case of an 18 year Muslim girl with eight months history of shortness of breath, left sided chest pain, heart burn and hiccup. After her medical work up she was diagnosed as a case of Bochdalek hernia. The Bochdalek hernia is commonly misdiagnosed in adult. Unlike infants who present with respiratory distress early, the most frequent symptom in an adult is mild discomfort and 25% of adult patients are asymptomatic. Our patient was misdiagnosed earlier and was treated with anti tubercular therapy for six months until she was admitted to our hospital. Congenital diaphragmatic hernia in adults is rarely suspected in the differential diagnosis of left sided chest pain with breathlessness. Correct diagnosis and early treatment is important to avoid the occurrence of serious complication.